Provider Demographics
NPI:1184277576
Name:FLYING NURSES INTERNATIONAL LLC
Entity type:Organization
Organization Name:FLYING NURSES INTERNATIONAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BROEDERDORF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-521-1333
Mailing Address - Street 1:250 PALM COAST PKWY NE STE 607-265
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32137-8224
Mailing Address - Country:US
Mailing Address - Phone:877-521-1333
Mailing Address - Fax:904-621-9924
Practice Address - Street 1:250 PALM COAST PKWY NE STE 607-265
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-8224
Practice Address - Country:US
Practice Address - Phone:877-521-1333
Practice Address - Fax:904-621-9924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-24
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport